Robert Half International Utiliazation Review Coordinator in Indianapolis, Indiana
The Robert Half Healthcare Practice is currently seeking a Utilization Review Coordinator for our client located on the East side of Indianapolis. The ideal Utilization Review Coordinator candidate would have experience working directly with both insurance companies as well as medical staff. With potential to go permanent, this is truly a great opportunity for someone looking to further their career in the healthcare field! The responsibilities for this Utilization Review Coordinator will include but not be limited to: -Performing utilization reviews to ensure adherence to federal regulations -Assist in maintaining records, answering correspondence and preparing and disseminating reports. Familiar with standard concepts, practices, and procedures within related field. Organizes and conducts the managed care process. This includes conducting admission and continued stay record reviews; utilizing approved criteria; making determinations of medical necessity active treatment; assisting in the discharge planning process; acting as liaison with third party payors/managed care companies and interacting in the managed care process. Familiarity with medical terminology, diagnostic terms and treatment modalities; knowledge of medical record keeping; strong interpersonal organizational, evaluative, and time management skills; policy interpretation skills, familiarity with applicable standards and regulations; ability to comprehend psychiatric evaluations, consults, etc. Maintain and update log review and other appropriate records of the utilization review department. For immediate consideration please send your resume to firstname.lastname@example.org
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Req ID: 01401-9501489303
Functional Role: Account Executive/Staffing Manager
Postal Code: 46204
Compensation: $14.00 to $19.00 per hour
Requirements: -Ability to discuss clinical review audits -Excellent follow through -Ability to multi-task and be capable of problem solving -Ability to use good judgment and to maintain confidentiality of information -Knowledge of Medicare, Medicaid, and commercial insurance rules and regulations -Ability to demonstrate tact, resourcefulness, patience and dedication